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Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps

Authors
 Ki Wook Sung  ;  Won Jai Lee  ;  In Sik Yun  ;  Dong Won Lee 
Citation
 Archives of Plastic Surgery, Vol.43(5) : 446-450, 2016 
Journal Title
 Archives of Plastic Surgery 
ISSN
 2234-6163 
Issue Date
2016
Keywords
Perforator flap ; Perineum ; Reconstructive surgical procedures
Abstract
BACKGROUND: Perineal defects are commonly encountered during the treatment of conditions such as malignancy, infectious disease, and trauma. Covering large defects in the perineal area is challenging due to its complicated anatomy and the need for functional preservation. METHODS: Fourteen patients who underwent reconstructive surgery with multiple perforator flaps for defects >100 cm(2) in the perineal area were included in this retrospective cohort study. Characteristics of the perforator flap operation and postoperative outcomes were reviewed. RESULTS: Reconstruction was performed using 2 perforator flaps for 13 patients and 3 perforator flaps for 1 patient. Internal pudendal artery perforator flaps were mainly used for covering the defects. The average defect size was 176.3±61.8 cm(2) and the average size of each flap was 95.7±31.9 cm(2). Six patients had minor complications, such as wound dehiscence and partial necrosis of the flap margin, which were corrected with simple revision procedures. CONCLUSIONS: Multiple perforator flaps can be used to achieve successful reconstructions of large perineal defects that are difficult to reconstruct with other coverage methods.
Files in This Item:
T201604738.pdf Download
DOI
10.5999/aps.2016.43.5.446
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
성기욱(Sung, Ki Wook)
윤인식(Yun, In Sik) ORCID logo https://orcid.org/0000-0003-1103-7047
이동원(Lee, Dong Won) ORCID logo https://orcid.org/0000-0003-0046-3139
이원재(Lee, Won Jai) ORCID logo https://orcid.org/0000-0003-3056-0503
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152612
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